AB1753-PARE APPLICATION OF THE THEORY OF PLANNED BEHAVIOR: THE ROLE OF FAMILY AND PATIENTS WITH RHEUMATOID ARTHRITIS
Authors: S. Al-Shamali, M. Al-Sabah, A. Alsaber
Journal: Annals of the Rheumatic Diseases (2023)

<h3>Background</h3> The TPB suggests that patient attitudes, subjective norms, and perceived behavioral control predict behavioral intentions and behaviors regarding health behavior (Yaoyao et al., 2021). Behavioral theories aid in improving the behavioral changes in the self-management of diabetes (Damayanti et al., 2018) and other lifestyles changes such as healthy eating (Rahmati-najarkolaei et al., 2017). Most recently, Jormand et al. (2022) uses TPB for the self-care behaviors of knee osteoarthritis patients in which TPB aided educational intervention, by examining variables such as their attitudes and perceived behavioral control. Saffari et al. (2018) explains that although they are not as popularly researched and surgical interventions, the benefits of non-medical approaches endorsing healthy lifestyles can improve symptoms and reduce the need for other treatments. <h3>Objectives</h3> This study will use three variables in the TPB model, namely, attitude, PBC (self-efficacy) and family support to examine the intention of self-management behaviors on a sample of patients with rheumatoid within a developing country and collectivist society. <h3>Methods</h3> The model proposed for this research includes independent variables; support from family (novel variable), attitude and perceived behavioral control. Dependent variables include intention and total self-management (cognitive, physical and communication with a health professional). Adult patients who meet the criteria of the American College of Rheumatology (ACR) and live with family will be asked to complete a self-administered questionnaire. This cross-section study proposes a model that will be tested using regression analyses and structural equation model. <h3>Results</h3> Data is still under analysis and will be available at the time of the conference. However, based on previous studies it is hypothesized that TPB variables and relative support will be reported as significant. <h3>Conclusion</h3> Insights through the model proposed could aid healthcare professionals in understanding elements that support or hinder rheumatoid patients from initiating or maintaining self-management behavior. <h3>References</h3> [1]Jormand H, Mohammadi N, Khani Jeihooni A and Afzali Harsini P (2022) Self-care behaviors in older adults suffering from knee osteoarthritis:Application of theory of planned behavior. Front. Public Health 10:958614. doi: 10.3389/fpubh.2022.958614 [2]Rahmati-Najarkolaci, F., Pakpour, A. H., Saffari, M., Hosseini, M. S., Hajizadeh, F., Chen, H., &amp; Yekaninejad, M. S. (2017). Determinants of lifestyle behavior in Iranian adults with prediabetes: Applying the theory of planned behavior. <i>Archives of Iranian medicine</i>, <i>20</i>(4), 198-204. [3]Saffari, M., Emami Meybodi, M. K., Sanaeinasab, H., Karami, A., Pakpour, A. H., &amp; Koenig, H. G. (2018). A theory of planned behavior-based intervention to improve quality of life in patients with knee/hip osteoarthritis: a randomized controlled trial. <i>Clinical Rheumatology</i>, <i>37</i>(9), 2505-2515. [4]Yaoyao Li, Shanshan Zhang, Jie Song, Miao Tuo, Chengmei Sun, Fuguo Yang, "Effects of Self-Management Intervention Programs Based on the Health Belief Model and Planned Behavior Theory on Self-Management Behavior and Quality of Life in Middle-Aged Stroke Patients", <i>Evidence-Based Complementary and Alternative Medicine</i>, vol. 2021, Article ID 8911143, 12 pages, 2021. https://doi.org/10.1155/2021/8911143 <h3>Acknowledgements:</h3> NIL. <h3>Disclosure of Interests</h3> None Declared.